Evidence map›Paper›PMID 37296360›Full record

ArticleJournal of general internal medicine2023

Trends in Fentanyl Content on Reddit Substance Use Forums, 2013-2021.

Amanda M Bunting, Noa Krawczyk, Thomas Lippincott, Yuanqi Gu, Simran Arya, Suhas Nagappala, Meredith C Meacham

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Amanda M BuntingDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USA. amanda.bunting@nyulangone.org.
Noa KrawczykDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USA.
Thomas LippincottKrieger School of Arts and Sciences, Johns Hopkins University, Baltimore, MD, USA.
Yuanqi GuDepartment of Public Health Nutrition, School of Global Public Health, New York University, NYC, NY, USA.
Simran AryaRenaissance School of Medicine at Stony, Brook University, Stony Brook, NY, USA.
Suhas NagappalaSchool of Public Health, University of California, Berkeley, Berkeley, CA, USA.
Meredith C MeachamDepartment of Psychiatry & Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.
New York University · USBerkeley Public Health Division · USJohns Hopkins University · USStony Brook University · USUniversity of California, San Francisco · US

Funding

The Lifespan/Brown Criminal Justice Research Program on Substance Use and HIVR25DA037190 · NIDA · MIRIAM HOSPITAL · PI CURT G BECKWITH · 2014 to 2026
$3.5M
Using Digital Tools to Understand Contexts and Consequences of High-THC Cannabis UseK01DA046697 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MEACHAM, MEREDITH · 2019 to 2023
$923k
Development of a novel polysubstance assessment tool for vulnerable subpopulationsK01DA053435 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUNTING, AMANDA M · 2021 to 2025
$909k
Beyond Treatment Initiation: Enhancing Opioid Use Disorder Care Transitions Across Health System TouchpointsK01DA055758 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Noa Krawczyk · 2023 to 2026
$722k
NIDA NIH HHS K01 DA046697NIDA NIH HHS K01 DA053435NIDA NIH HHS K01 DA055758NIDA NIH HHS R25 DA037190
6 · The paper itself

Abstract

backgroundFentanyl is a pressing concern in the current drug supply. Social media data can provide access to near real-time understanding of drug trends that may complement official mortality data.

designThe total number of fentanyl-related posts and the total number of posts for eight drug subreddit categories (alcohol, cannabis, hallucinogens, multi-drug, opioids, over the counter, sedatives, stimulants) were collected from 2013 to 2021 using the Pushshift Reddit dataset. The proportion of fentanyl-related posts as a fragment of total subreddit posts was examined. Linear regressions described the rate of change in post volume over time.

resultsOverall, fentanyl-related content increased across drug-related subreddits from 2013 to 2021 (1292% increase, linear trend p ≤ 0.001). Opioid subreddits (30.62 per 1000 posts, linear trend p ≤ 0.001) had the most fentanyl-related content during the examined time period. Multi-drug (5.95 per 1000; p ≤ 0.01), sedative (3.23 per 1000, p ≤ 0.01), and stimulant (1.60 per 1000, p ≤ 0.01) subreddits also had substantial increases in fentanyl-related content. The greatest increases occurred in the multi-drug (1067% 2013:2021) and stimulant (1862% 2014:2021) subreddits.

conclusionFentanyl-related posts on Reddit trended upward, with the fastest rate of change for multi-substance and stimulant subreddits. Beyond opioids, harm reduction and public health messaging should ensure inclusion of individuals who use other drugs.

Indexed as

Social MediaSubstance-Related DisordersAnalgesics, OpioidFentanylHumansAnalgesics, OpioidFentanylDrug supplyFentanylOverdoseRedditSocial mediaStimulants

Identifiers

PMID37296360
PMCPMC10255938
OpenAlexW4379981621

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.